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Consent to the processing of personal data

I hereby grant to the company CovidPass s.r.o., with its registered seat at Boženy Němcové 1881/5, Nové Město, 120 00 Prague 2, Czech Republic, ID No. (IČO): 09283561, registered in the Commercial Register maintained by the Municipal Court in Prague, file No. C 333824 (the “Company”) as the controller of personal data my consent to the processing of my personal data.

Personal data processed:

name and surname, date of birth, identification number, home address, telephone number, email contact, health data in the form of information about the test result

I give my consent for the following purposes:

  1. for the purpose of sending the request for testing to the laboratory performing the testing and performing the testing, for a period of 1 month from the sending of the request to the laboratory;
  2. for the purpose of delivery of the test result via the CovidPass application, for a period of 1 month from the submission of the test results;
  3. storing the test result in the CovidPass application database for later use, for a period of 3 months from the entry of the test result;
  4. sharing the test result with selected third parties for a period of 3 months from the submission of the test result.

I acknowledge that my above data will be transferred to another controller, namely the laboratory that will perform the testing and enter the test result into the CovidPass database, if I have chosen this option. I hereby give my consent to the selected laboratory to process my above personal data for the 1st and 2nd purpose as specified above.

I am aware that I may revoke my consent to the processing of personal data at any time. Withdrawal of consent shall not affect the lawfulness of the processing resulting from the consent prior to its withdrawal.

I hereby confirm that at the same time as I grant this consent, I have read the document Processing and Protection of Personal Data, which contains detailed information on the processing of my personal data by the Company, including all my rights and contacts to the Company.